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Event Report
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* Indicates required question
Name (Optional)
Your answer
Date of Event
Your answer
Local Time of Event
Your answer
Event Description
*
Include your suggestions on how to prevent similar occurrences.
Your answer
Did the event occur.....
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In the air
On the ground and involved an aircraft
On the ground
In your opinion, what is the likelihood of such an event or similar, happening again
*
Choose
Rare - almost inconceivable it will happen
Unlikely - could happen, but not known to have done so
Possible - might do at sometime
Likely - more likely than not
Almost certain - expected to happen
What do you consider to be the worst possible consequence if this event did happen or happened again?
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Choose
Negligible - nuisance, no injuries
Low - minor incident, first aid required
Moderate - medical treatment, low damage
Significant - injuries, major damage to equipment
Catastrophic - fatality, equipment destroyed
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